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BTSG vs. FMS: BrightSpring Health Services vs. Fresenius Medical Care Stock Comparison

How do BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.

Company Profile

BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS) are both classified in the Health Care Services sub-industry within the broader Health Care Providers & Services industry, placing them in the closest GICS peer bucket.

Fresenius Medical Care (FMS) carries decades of public-market history since September 17, 1996, while BrightSpring Health Services (BTSG) listed on January 26, 2024 — long-window comparisons have far more historical data on the FMS side.

BrightSpring Health Services (BTSG) trades as ordinary local shares, while Fresenius Medical Care (FMS) trades as an ADR — compare with FX exposure, depositary-program fees, and dividend-withholding-tax differences in mind.

Company profile comparison for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
Profile ItemBTSGFMS
NameBrightSpring Health Services, Inc.Fresenius Medical Care AG - Depositary Receipt
Country/RegionUnited StatesGermany
GICS SectorHealth CareHealth Care
GICS Industry GroupHealth Care Equipment & ServicesHealth Care Equipment & Services
GICS IndustryHealth Care Providers & ServicesHealth Care Providers & Services
GICS Sub-IndustryHealth Care ServicesHealth Care Services
Market Capitalization13.36 billion USD12.15 billion USD
CurrencyUSDUSD
ExchangeNasdaqNYSE
Listing DateJanuary 26, 2024September 17, 1996
Security TypeCommon StockADR

Price Performance

Cumulative Growth

BTSG
FMS
GSPC
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
MetricBTSGFMS
Total Return (1Y)106.02%-0.71%
Total Return (3Y, Annualized)--13.88%
Total Return (5Y, Annualized)---4.69%

Risk Profile

Drawdown History

BTSG
FMS
GSPC
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
MetricBTSGFMS
Volatility (1Y, Annualized)45.20%30.61%
Beta (5Y)1.750.77
Max Drawdown (5Y)-35.56%-62.33%
Avg. Volume (3M)2.47M954.21K

Risk-Adjusted Performance

Risk-Return Positioning

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BTSG and FMS are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
MetricBTSGFMS
Sharpe Ratio (1Y)2.25-0.16
Sortino Ratio (1Y)3.25-0.21

Profitability

ROE (TTM)

BrightSpring Health Services (BTSG) at 15.54% sits in the top ROE quartile, while Fresenius Medical Care (FMS) at 7.84% is closer to the peer norm — stronger capital efficiency for BTSG.

BTSG

Health Care Equipment & Services industry group

15.54%

Max
47.61%
BTSG
15.54%
Q3
14.36%
Median
5.45%
Q1
-10.67%
Min
-47.01%

FMS

Health Care Equipment & Services industry group

7.84%

Max
47.61%
Q3
14.36%
FMS
7.84%
Median
5.45%
Q1
-10.67%
Min
-47.01%
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Both BrightSpring Health Services (BTSG) at 2.69% and Fresenius Medical Care (FMS) at 4.22% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.

BTSG

Health Care Equipment & Services industry group

2.69%

Max
29.35%
Q3
9.33%
BTSG
2.69%
Median
2.18%
Q1
-6.29%
Min
-28.46%

FMS

Health Care Equipment & Services industry group

4.22%

Max
29.35%
Q3
9.33%
FMS
4.22%
Median
2.18%
Q1
-6.29%
Min
-28.46%
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Both BrightSpring Health Services (BTSG) at 3.81% and Fresenius Medical Care (FMS) at 9.63% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.

BTSG

Health Care Equipment & Services industry group

3.81%

Max
35.43%
Q3
14.14%
Median
6.81%
BTSG
3.81%
Q1
-0.28%
Min
-16.29%

FMS

Health Care Equipment & Services industry group

9.63%

Max
35.43%
Q3
14.14%
FMS
9.63%
Median
6.81%
Q1
-0.28%
Min
-16.29%
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
MetricBTSGFMS
ROE (TTM)15.54%7.84%
ROA (TTM)5.44%3.94%
Net Margin (TTM)2.69%4.22%
Operating Margin (TTM)3.81%9.63%
Gross Margin (TTM)12.50%26.46%

Growth

Revenue Growth

BrightSpring Health Services (BTSG) at 28.18% sits in the top revenue growth quartile, while Fresenius Medical Care (FMS) at 1.51% is in the bottom quartile, showing a clear gap in revenue momentum.

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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their Revenue Growth across different time periods.

EPS Growth

Only one side can be read here: Fresenius Medical Care (FMS) reports EPS growth of 83.61%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.

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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
MetricBTSGFMS
Revenue Growth (YoY)28.18%1.51%
Revenue Growth (3Y CAGR)18.69%0.39%
EPS Growth (YoY)--83.61%
EPS Growth (3Y CAGR)--13.47%

Financial Strength

Current Ratio (MRQ)

BrightSpring Health Services (BTSG) at 1.62 keeps current ratio within its industry’s typical mid-range, while Fresenius Medical Care (FMS) at 0.99 runs in the tighter-liquidity quartile — a thinner cushion against current liabilities for FMS.

BTSG

Health Care Equipment & Services industry group

1.62

Max
7.59
Q3
4.00
Median
1.98
BTSG
1.62
Q1
1.37
Min
0.30

FMS

Health Care Equipment & Services industry group

0.99

Max
7.59
Q3
4.00
Median
1.98
Q1
1.37
FMS
0.99
Min
0.30
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Fresenius Medical Care (FMS) at 0.79 carries an industry-typical debt-to-equity mix, while BrightSpring Health Services (BTSG) at 1.09 uses more debt funding than most peers.

BTSG

Health Care Equipment & Services industry group

1.09

Max
1.88
BTSG
1.09
Q3
0.91
Median
0.58
Q1
0.16
Min
0.00

FMS

Health Care Equipment & Services industry group

0.79

Max
1.88
Q3
0.91
FMS
0.79
Median
0.58
Q1
0.16
Min
0.00
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
MetricBTSGFMS
Current Ratio (MRQ)1.620.99
Debt / Equity (MRQ)1.090.79
Net Debt / EBITDA2.393.63

Dividends

Dividend Yield (TTM)

BrightSpring Health Services (BTSG) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Fresenius Medical Care (FMS) reports a yield of 6.30%, ranking against industry peers normally.

BTSG

Health Care Equipment & Services industry group

0.00%

BTSG
0.00%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%

FMS

Health Care Equipment & Services industry group

6.30%

FMS
6.30%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

BrightSpring Health Services (BTSG) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Fresenius Medical Care (FMS) reports a payout of 50.14%, ranking against industry peers normally.

BTSG

Health Care Equipment & Services industry group

0.00%

BTSG
0.00%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%

FMS

Health Care Equipment & Services industry group

50.14%

FMS
50.14%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
MetricBTSGFMS
Dividend Yield (TTM)0.00%6.30%
Dividend Payout Ratio (TTM)0.00%50.14%

Valuation

P/E Ratio (TTM)

Fresenius Medical Care (FMS) at 13.53 sits in the cheaper P/E ratio quartile, while BrightSpring Health Services (BTSG) at 47.62 is closer to its industry’s usual earnings multiple — a discount for FMS, though growth and earnings durability still matter.

BTSG

Health Care Equipment & Services industry group

47.62

Max
80.41
BTSG
47.62
Q3
47.62
Median
29.93
Q1
21.19
Min
4.21

FMS

Health Care Equipment & Services industry group

13.53

Max
80.41
Q3
47.62
Median
29.93
Q1
21.19
FMS
13.53
Min
4.21
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

Both BrightSpring Health Services (BTSG) at 0.88 and Fresenius Medical Care (FMS) at 0.62 fetch a relatively low price per dollar of sales, landing in the cheaper P/S ratio quartile of their industries.

BTSG

Health Care Equipment & Services industry group

0.88

Max
8.80
Q3
4.32
Median
2.13
Q1
1.10
BTSG
0.88
Min
0.03

FMS

Health Care Equipment & Services industry group

0.62

Max
8.80
Q3
4.32
Median
2.13
Q1
1.10
FMS
0.62
Min
0.03
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

Fresenius Medical Care (FMS) at 0.85 looks cheap against book in the lower P/B ratio quartile, while BrightSpring Health Services (BTSG) at 6.39 carries a premium in the upper quartile — a clear price-to-book gap.

BTSG

Health Care Equipment & Services industry group

6.39

Max
11.68
BTSG
6.39
Q3
6.12
Median
3.00
Q1
1.73
Min
-1.31

FMS

Health Care Equipment & Services industry group

0.85

Max
11.68
Q3
6.12
Median
3.00
Q1
1.73
FMS
0.85
Min
-1.31
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BrightSpring Health Services (BTSG) vs. Fresenius Medical Care (FMS): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for BrightSpring Health Services (BTSG) and Fresenius Medical Care (FMS)
MetricBTSGFMS
P/E Ratio (TTM)47.6213.53
P/S Ratio (TTM)0.880.62
P/B Ratio (MRQ)6.390.85
Free Cash Flow Yield (TTM)8.30%12.29%